Proximal Redundant Fibula Bone Template for Flap Osteotomies in Mandibular Reconstruction: A Novel Technique.

IF 0.8 Q4 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Maxillofacial & Oral Surgery Pub Date : 2024-02-01 Epub Date: 2021-05-11 DOI:10.1007/s12663-021-01567-4

Manish Mair, Kartic Rajaram, Andrew Baker

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引用次数: 0

Abstract

Background: Free fibula flap has been the workhouse of reconstruction for segmental mandibular defects. The use of computer aided design helps in achieving the desired aesthetic and functional outcome. It has its advantages but it comes with an extensive financial burden.

Purpose: We propose the use of redundant proximal fibula bone segment as a template and a cutting guide for flap osteotomies in mandibular reconstruction.

Methods: We have used this surgical technique in a case of T4 oral cancer that required segmental mandibulectomy.

Result: Average ischaemia time was 1 hour and 30 minutes. Based on histopathology report, both the patients required adjuvant radiotherapy. Oral competence was maintained in both the patients. Post-operatively, the contour and the orientation of the mandibular reconstruction were comparable both clinically and radiologically to the previously planned 3D cases.

Conclusion: This surgical technique provides an accurate guide for end angle osteotomy. In addition, it does not require any extra surgical step and does not increase the ischemia time of the flap with no additional extra cost.

Supplementary information: The online version contains supplementary material available at 10.1007/s12663-021-01567-4.

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腓骨近端冗余骨模板用于下颌骨重建皮瓣截骨术:一种新技术

背景：游离腓骨瓣一直是下颌骨节段性缺损的重建工具。使用计算机辅助设计有助于达到理想的美学和功能效果。目的：我们建议在下颌骨重建中使用多余的腓骨近端骨段作为皮瓣截骨的模板和切割指南：方法：我们在一例需要进行下颌骨节段切除术的 T4 口腔癌病例中使用了这一手术技术：结果：平均缺血时间为 1 小时 30 分钟。根据组织病理学报告，两名患者都需要进行辅助放疗。两名患者均保持了口腔功能。术后，下颌骨重建的轮廓和方向在临床和放射学上都与之前计划的三维病例相当：结论：这一手术技术为内角截骨术提供了准确的指导。此外，它不需要任何额外的手术步骤，也不会增加皮瓣的缺血时间，而且没有额外的费用：在线版本包含补充材料，可在 10.1007/s12663-021-01567-4上查阅。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Maxillofacial & Oral Surgery DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

1.90

自引率

0.00%

发文量

138

期刊介绍： This journal offers comprehensive coverage of new techniques, important developments and innovative ideas in Oral and Maxillofacial Surgery. Practice-applicable articles help develop the methods used to handle dentoalveolar surgery, facial injuries and deformities, TMJ disorders, oral cancer, jaw reconstruction, anesthesia and analgesia. The journal also includes specifics on new instruments, diagnostic equipment’s and modern therapeutic drugs and devices. Journal of Oral and Maxillofacial Surgery is recommended for first or priority subscription by the Dental Section of the Medical Library Association. Specific topics covered recently have included: ? distraction osteogenesis ? synthetic bone substitutes ? fibroblast growth factors ? fetal wound healing ? skull base surgery ? computer-assisted surgery ? vascularized bone grafts Benefits to authorsWe also provide many author benefits, such as free PDFs, a liberal copyright policy, special discounts on Elsevier publications and much more. Please click here for more information on our author services.